Individual
DR. SUCK JUN BANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15247 11TH ST, #1000, VICTORVILLE, CA 92395-3727
(760) 245-0102
(760) 245-6171
Mailing address
15247 11TH ST, #1000, VICTORVILLE, CA 92395-3727
(760) 245-0102
(760) 245-6171
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
00A245410
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A245410
—
CA
Enumeration date
09/24/2006
Last updated
07/09/2007
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